Development of a Hand Sensitivity Test for the Hypersensitive Hand

Yerxa, Elizabeth J.; Barber, Lois M.; Diaz, Olivia; Black, Wendy; Azen, Stanley P.

doi:10.5014/ajot.37.3.176

Cited by 23 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Each modality was used for 10 minutes two or three times a day. 12,27 The results from Downey Hand Center were good. The hyperaesthesia was not preventing any of the patients from returning to work after treatment and the average treatment period was seven weeks.…”

Section: Introductionmentioning

confidence: 94%

A study of the effect of desensitization on hyperaesthesia in the hand and upper extremity after injury or surgery

Göransson

Cederlund

2010

Hand Therapy

View full text Add to dashboard Cite

Introduction. Hyperaesthesia is a common problem in hand rehabilitation. A desensitization programme has successfully been used in our occupational therapy department for patients with hyperaesthesia in the hand or upper extremity. Our objectives were to investigate self-perceived pain/discomfort at rest, with use or touch, size of sensitive skin area and occupational performance in daily occupations for patients with hyperaesthesia before and after a six-week desensitization programme. Methods. Thirty-nine patients with pain/discomfort at or near scars from hand injury or surgery participated in the study. The patients were recruited consecutively to the study. They were instructed to massage the sensitive skin area three times a day with a piece of texture until numbness occurred (2-5 minutes). The textures were upgraded continuously. A study-specific questionnaire was developed including demographic data and questions concerning perceived pain/discomfort. Pain/discomfort was assessed with a visual analogue scale 0-100. The size of the sensitive skin area was assessed in mm 2 . Occupational performance was assessed with the Canadian Occupational Performance Measure. Results. The results showed statistically significant improvements (P 0.001) in all areas after six weeks with reduced pain/discomfort at rest and with use or touch, a decreased size of the sensitive skin area and a higher occupational performance in daily occupations. Discussion. The results indicate the importance of paying attention to sensory disturbances during rehabilitation. The cost for such a programme is low. Further research is needed to confirm the results in a larger sample using a control group, and in comparison with spontaneous healing and other treatment modalities.

show abstract

Section: Introductionmentioning

confidence: 94%

A study of the effect of desensitization on hyperaesthesia in the hand and upper extremity after injury or surgery

Göransson

Cederlund

2010

Hand Therapy

View full text Add to dashboard Cite

show abstract

“…It can result from injuries to the peripheral sensory nerves, as is commonly seen in people suffering from hand injuries or amputation. Hypersensitivity is defined as a condition of extreme discomfort or irritability in response to normally non-noxious tactile stimulation (Yerxa et al, 1983). Neuropathic pain (hypersensitivity) can be subdivided into hyperalgesia and allodynia.…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous Electrical Nerve Stimulation for Neuropathic Pain

Cheing

Luk

2005

Journal of Hand Surgery

View full text Add to dashboard Cite

This study examined the clinical effectiveness of high-frequency transcutaneous electrical nerve stimulation for reducing hypersensitivity of the hand. Nineteen patients suffering from hand hypersensitivity were randomly assigned into either a treatment or a placebo group. A visual analogue scale and the Downey Hand Centre Hand Sensitivity Test were used to measure the tactile tolerance of the hand. Grip strength was assessed by a grip dynamometer. Daily applications of electrical stimulation were provided for 2 weeks. Significantly lower pain scores were found in the treatment group than in the placebo group by Day 7 and Day 11. The ranking of ten dowel textures of the Downey Hand Centre Hand Sensitivity Test in the treatment group was significantly higher than in the placebo group by Day 7 and Day 11. However, no significant inter-group difference was found in grip strength.

show abstract

“…In der Rehabilitation wurde der Ausdruck "Desensibilisierung" bislang als Sammelbegriff für eine Reihe von unterschiedlichen somatosensorischen und motorischen Ansätzen verwendet, darunter: ▪ Flooding (Reizüberflutung), Schmerzexposition oder Stressbelastung ▪ Graded Exposure (abgestufte Exposition) und ▪ Sensibilitätstraining (sensory re-education) Eine bahnbrechende Arbeit beschreibt Desensibilisierung als direkte Reizung des schmerzhaften Bereichs, um den Schwellenwert adaptiv zu erhöhen oder die Signalübertragung anderweitig zu modulieren [9]. Im Kontext der handtherapeutischen Intervention schlage ich eine ähnliche Definition vor: [2] und zum Sensibilitätstraining bei Nervenläsionen [1].…”

Section: Er Stellt üBerlegungen An Wie Diese Klassifikation Alsunclassified

Desensibilisierung oder Sensibilitätstraining?

Packham¹,

Meyer²

2021

Praxis Handreha

View full text Add to dashboard Cite

Handtherapeuten begegnen sensiblen Störungen mit Sensibilitätstraining oder Desensibilisierungstechniken. Doch oft sind sowohl die Begrifflichkeiten als auch die entsprechenden Behandlungsmaßnahmen nicht klar voneinander abgegrenzt. Tara Packham erklärt die Unterschiede, prüft kritisch die vorhandene Evidenz und schlägt schließlich einen Algorithmus für die Behandlung dieser Störungen vor.

show abstract

Development of a Hand Sensitivity Test for the Hypersensitive Hand

Cited by 23 publications

References 5 publications

A study of the effect of desensitization on hyperaesthesia in the hand and upper extremity after injury or surgery

A study of the effect of desensitization on hyperaesthesia in the hand and upper extremity after injury or surgery

Transcutaneous Electrical Nerve Stimulation for Neuropathic Pain

Desensibilisierung oder Sensibilitätstraining?

Contact Info

Product

Resources

About